Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI # | 1487626776 |
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| LBN Legal business name | PENNYROYAL HOSPICE, INC. | ||||||||
| Authorized official | MELONY SANDLIN - (OFFICE MANAGER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 02/02/2006 | ||||||||
| Last updated | 06/24/2020 - About 6 years ago | ||||||||
| Identifiers |
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